ENT-MCQ-C2 426

ENT exam 426 C2 march/23/2010 in facial nerve paralysis, if the patient can move his forehead *1 :muscle, the lesion will be • • •

 proximal to geniculate ganglion. Extra temporal. Tympanic part.

2*a patient presented to the ER with a history of nasal trauma. The next step: • Treat after a year  • It is mandatory to take an x-ray as early as possible. possible.  None of the above • •

3* child with AOM, which of these complications requires emergent diagnosis & treatment: facial nerve paralysis. paralysis. adhesive otitis media. • •

4*In management of sever epistaxis, ligation of: •  posterior ethmoidal artery. • Sphenopalatine artery. Maxillary artery.* I'm not sure internal carotid artery • •

5*neck mass, initial management is: FNA • 6*the best prognosis among neck malignancies: Piriform fossa •  Nasopharyngeal • Esophageal • vocal fold carcinoma. •

7*Ramsy-Hunt Syndrome include all the following ,except: Sensorineural hearing loss •  Nystagmus • Facial paralysis •

Perforation of tympanic membrane. Vesicular eruption

• •

8*unilateral choanal atrasia, is: • Diagnosed at adulthood Incompatable with life • Diagnosed by unilateral purulent discharge • Associated with torch syndrome • Requires immediate intervention • 9* The most common site of stenosis following trachoestomy: Sub glottic area • glottic • tracheal • • esophageal • supraglottic

10*The frontal sinus drain into: Middle meatus. meatus. •

11*The most common complication of acute ethmoidal sinusitis in children is: • Osteomyelitis. • Orbital cellulitis. 12*vocal cord mobility is measured by: Stroboscopy.. Stroboscopy • flexible fibrooptic laryngoscope •

13*laryngomalacia is evaluated by: • history • xray Rigid bronchoscopy. • Awake flexible fibreroptic laryngoscopy. •

14*trismus occur in: Peritonsillar abscess. •

15* All are indication of tonsillectomy, except: Asymptomatic hyperplasia. hyperplasia. Obstructive Sleep apnea. Peritonsillar abscess • • Unilateral tonsillar hyperplasia • three episodes of tonsilitis per a year for three consecutive years • •

16*what is the best modality of treatment for a patient with bilateral SNHL, average of his hearing is about 60 db? • Hearing aids. • Cochlear implant Stapedosurgery • Ossiculoplasty • Lip reading • 17*Meneire's disease is characterized by: It is viral • Affects cochlea. Causes perminant bilateral SNHL • Treated by stapedectomy • •

18* a 3 yr old boy came with unilateral purulent nasal discharge, most probable cause is: Foreign body • 19* voice of a patient with cleft palate: Hypernasality. Hyponasality • Hot potato voice • hoarseness • •

20* management of uncomplicated acute supporative sinusitis: • antibiotics for 24 hours, then surgery • surgery then antibiotics • antihistamines and steam inhalation Analgesic, antibiotic & decongestant nasal drops. •

21*singer nodules:

•

• • •

Occurs at junction of the anterior 1/3 &posterior 2/3. Occurs at the junction of anterior 2/3 & posterior 1/3. Occurs at the anterior commisure Occurs at the posterior commisure

22* Newborn with air way obstruction, aggravated with sucking: Choanal Artesia. •

23* Intracranial venous sinus thrombosis commonly occurs with: Superior sagital • Sigmoid sinus Cavernous sinus • Inferior petrosal sinus • Superios petrosal sinus • •

24* Marginal perforation of tympanic membrane occurs with: Acute otitis media • Acute otitis media with effusion • Cholesteatoma • • Malignant otitis media •  barotrauma

25* all of the following should be avoided in child with acute glottitis, except: • X-ray of air way • Emergent intubation Examining with tongue depressor  • 26* according to nasal polyp : It comes from osteomeatal complex Most common in childhood • Caused by Atrophic rhinitis • Most common from Maxillary sinus • •

common with: with: 27*plemorphic adenoma, most common Parotid gland •

28* the most common malignancies in thyroid: Follicular thyroid carcinoma • Papillary thyroid carcinoma •

• •

Medullary thyroid carcinoma Anaplastic tumor 

29*neck mass that moves with swallowing: • Thyroid Branchial cyst • Dermoid cyst • Lymph node metastasis • lipoma • 30*which of the following muscle abduct vocal fold: lateral cricoarytenoid muscle • Posterior cricoarytenoid muscle • Cricothyroid • • Oblique interarytenoid 31* Eustachian tube in children: Wider & more horizontal.* most likely answer • shorter & more vertical. •

32* etiology of hemorrhagica myringitis bullosa bullosa is : • trauma • viral  bacterial • fungal • allergic •

33*Adult pt. with unilateral OME, we must exclude : nasopharyngeal carcinoma. • 34*SCC seen in all the following except:  parotid • vocal fold • nasopharynx • oropharynx •

35*the aim of cholesteatoma surgery is: safety • • improve hearing

•

save hearing

36* The most common sequela of untreated Bell's palsy: •  partially resolve completely resolve • involves other cranial nerves involves the contralateral side • no progression • •

rhinitis medicamentosa results after*37 :prolonged use of  •

antihistamines

•

nasal decongestants

38*anterior epistaxis is usually from: • the nasal septum • Vestibule • Roof  Floor  • 39* the level of air way obstruction can be determined by: Time of stridor in the breathing process Respiratory rate. • •

40*Killian's dehiscence is related to: • Facial nerve paralysis  pharyngeal pouch • laryngeocele •  branchial cyst • none of the above • *otitis media effusion occurs with all except  barotrauma •  peritonsillar abscess • cleft palate • • nasopharyngeal carcinoma • adenoid apparently there is an extra question…I'm not sure which one, so I'm just gonna leave it..good luck 

collected by: Ghaliya Al-ajaji